« ForrigeFortsett »
of any good, pure water, either with or with writing a prescription for some ready-made out lithia, will do much good in these cases. cure-all. It is desirable that the water be “soft” –that The editorial in August WORLD on reis, without much mineral material dissolved moval of insects, etc., from the ears is a good in it. Then it is all the more solvent when thing to read over once in awhile. ingested. Distilled water is “flat” and un- Shall we tell the laity how to avoid coninviting; hence the requisit quantity is sel. ception? No. The minute you begin to dom ingested. People who go to watering give away that sort of information you will places for kidney and bladder troubles, etc., get the reputation of being an accommodatare benefited chiefly by the quantity of water ing doctor. Applications to do abortions will ingested. The physicians at such places pre- pile in on you. If you tell one woman in scribe the quantity of water to be taken, and private, what not to do, she will tell some the time (as, two glasses upon rising in the friend, and the news soon gets abroad in the morning, three glasses between breakfast and community that Dr. Blank will tell all the dinner, three or four glasses in the afternoon, women what to do, and you will not have to and perhaps three glasses before retiring), just tell the young girls, for the young married like medicin would be prescribed. If a good, women whom you instruct will teach the pure water were ingested at home the same girls. I believe this sort of information will way, most if not all the benefits of the water- lower a doctor's moral standing in the coming places could be gotten at home.—ED.] munity, and that in time it will drive away
a better class of patients who will not want to
be seen going to his office for fear the neighCorns, Conception, Etc.
bors will say they are after the information Editor MEDICAL WORLD: - In THE that will enable them to dance without payWORLD for September, 1905 (page 364), J. ing the fiddler. Marriage is a sacred and H. Sanborn, of Red Bud, Ill., gave a mixture honorable relation that no person should conof corrosiv sublimate, gasoline and wood tract who is not willing to have children if alcohol for bedbugs. I have tried it, and they happen to come. the gasoline and wood alcohol will not mix. I note that THE WORLD has plenty of remWill Dr. Sanborn tell us how to make a per- edies for rhus poison; so many that I am almanent mixture?
most ashamed to bring out my old remedy of I have tried the remedy for corns given by solution of sugar of lead in aqua pura. For the same author in the above-mentioned arti- facial erysipelas it removes the itching and cle and find it works very nicely. Who has burning and dries up the eruption. a remedy to apply to corns that will cure Colchester, Conn. C. F. CONGDON. them so they will stay cured? I have tried [There is no good reason for using both the salicylic acid formulas, with and without gasoline and wood alcohol with corrosiv subcannabis indica, but the corns come back in a limate for bedbugs. The only object is to short time. I have cut them down to the dissolve the corrosiv sublimate, which is the bone, and then they come again in the same poison that kills the bugs. A solution in old place.
water would do as well as any other. In June WORLD (page 231), Dr. J. E. Ship Corns will not "stay cured” unless the ley wants to know if acetozone has any rating cause is removed. A few weeks or months as a germicide in typhoid fever. Influenced of bare-foot life will remove all corns; but by the claims of P. D. & Co., who sell this they will return again if the original cause drug, I gave it a thoro trial three years ago, returns. That cause is rubbing or pressure and found it perfectly harmless and perfectly by shoes. It seems difficult to wear shoes worthless.
without corns or callosities as a penalty. An I admire the policy of THE WORLD in easy and convenient way to remove or modify fighting the proprietary nostrums that are hard corns and callosities is by means of advertised to the public. This policy will, if coarse sand-paper or a file. This is better successful, keep the use of quack medicins than the knife (unless the knife is in skilled within the profession, and make quackery a hands) because it is easier and entirely safe. close monopoly. After all the nostrums that The frequent use of sand-paper will pay large are advertised to the public are killed off, dividends in foot-ease for the trouble. perhaps some daring author will begin a war The advertising returns of medical journals on quack medicins advertised to the profes- are greatly exaggerated. As long as there sion. About the only difference I can see in are doctors who, as you say, are “ too slow to the two classes is that in the case of those study their cases or their materia medica," nostrums advertised to the public and those there will be a need for ready-made mixadvertised only to the doctors is that in the tures; and for some ready-made mixtures former case the druggist gets the profit and there are very good pharmaceutic reasons.the public gets humbugged; in the latter case ED.] the medical journal gets a rake-off for adver
In intractable hemoptysis, amyl nitrite should be tising and the doctor, who is too slow to study
Y tried. It exerts its influence by checking the influx of his case and his materia medica, gets a fee for blood into the ulcerated lung tissue.
The Magnesia Heart.
between two men. These cases illustrate the Editor MEDICAL WORLD:-Sudden death point which I wish to bring out: that there from so-called “heart failure” is now So was what might be termed a dis-assimilation prevalent that the mere mention of this con- with deposit of magnesium in the nerves of the dition is quite sufficient to produce a pro- solar plexus. Of course, these instances may found mental depression in the most stoic. be regarded as extreme cases. Whether they So far, but little advance has been made to could be recognized during life by the charwards a correct interpretation of the pathol- acteristic metallic heart sound, together with ogy underlying the condition; and the writer concomitant nervous derangement, is a questakes it for granted that the medical profes- tion which for the present must remain open. sion will be interested in learning the cause In the case of nervous prostration and inor causes which conspire to bring about this sanity the pathological conditions are not so fatal affliction. The object of the present well markt, but in nearly every instance we communication is to direct attention to the have the evidence of cardiac derangement influence exerted by magnesium in its vari- due to mal-assimilation, engrafted upon disous forms, when introduced into the system turbances of the nervous system incident to for medicinal purposes, or occurring as a the strenuous life which marks our modern result of nutritional defects.
civilization. In the case of both disorders, I We all know that magnesium sulfate has have witnessed personally the most marvellong been recognized as a popular domestic lous changes attending treatment directed to remedy, and we also know that it is exten- removal of the effects of dis-assimilation, tosiyly, I might say universally, employed by gether with the concurrent administration of surgeons both before and after major opera- remedies directed to the displacement of the tions, and it is probable that the following physiological equilibrium. That is, in the remarks will appeal more strongly to the treatment of these cases, we must first correct surgeon than to the strictly medical man, the acid excess in order to re-establish the because of the necessity which appears in normal alkalinity of the blood-to promote connection with surgical treatment for over- oxidation and favor elimination of waste coming or subduing the various forms of material. In this connection, however, it is "nervousness” which manifest themselves necessary to restore the lime content, which after surgical interference and the difficulties enables the nerves which are electroplated attending nutrition - all, or nearly all of with magnesium to discharge the magnesium which, are probably due to the influence of and recoup themselves with the proper lime magnesium.
constituent. This statement will be more apparent An article recently appeared in the New when we come to consider the obscure nery. York Medical Record by Prof. Alex. Haig, ous manifestations occurring in the case of of London, in which he claims that the prevnervous prostration (neurasthenia), in the alence of crime is due to weak heart, the latvarious types of insanity, and in that condi- ter being a result of failure in nutrition, from tion known as “ general debility." My claim lack of proper food. Professor Haig insists is substantially as follows: That in all forms that those starving patients “lose heart” and of disease, both acute and chronic, there is a commit crime as a consequence. On the contendency to acid excess, the result of which trary, my investigations and observation lead is a depletion of the lime content, while the me to the conclusion that these patients who magnesium remains in the system and effects suffer from lack of proper food gradually aca chemical combination with the nerve struc- quire the acid “diathesis," and suffer from tures, interfering with the function of the magnesium poisoning; finally their nervous cells, arresting the transmission of nerve im- mechanism becomes so obtunded that they pulses and thus producing the obscure nery- disregard the line of demarcation between ous phenomena which are so common in all right and wrong. When these nervous subdiseased conditions.
jects are provided with suitable food and Perhaps my premises will be more fully given legitimate and regular employment understood by brief reference to illustrativ the criminal disposition disappears. Hence, cases. Thus, I have recently noticed a report it becomes a question for the state and mufrom Berlin, in which a woman was admitted nicipal authorities to protect the community to the hospital with symptoms which defied against crime by means of food and employdiagnosis. Post-mortem examination discov- ment, rather than thru the medium of magered a malignant tumor of the brain, while istrates' courts, jails and workhouses. the heart, liver and kidneys were partially I n a paper recently presented to the Amerpetrified by a thick, calcareous deposit. An- ican Medical Association at Boston, Dr. other case is that of a prominent handwriting Gould, of this city, claims that both headexpert who died suddenly after a short ill- ache and stomach disorders arise from eyeness, from heart failure, without apparent strain, and that one-fifth of the entire popudisease. A third case is that of a woman lation, or 15,000,000 persons in this country, “who fell over dead in the street,” following are suffering from spinal curvature, as a consome unusual excitement incident to a fight sequence of eye-strain. My interpretation of this question is somewhat different. My im- been recognized, as shown by recent contribupression is that at least one-half the popula- tions on this important subject. Thus, Dr. H. tion suffer from magnesium poisoning, and P. Loomis, of New York (Therapeutic Gazette, that this results in spinal irritation, gastric February, 1906), says nothing about it, altho disorders and likewise eye-strain. As a proof he admits that he found an exceedingly valof this statement should be mentioned the uable cardiac stimulant in “liquor ammoniæ fact that patients who wear glasses for eye- acetas,” first brought to his attention while strain promptly recover when the lime de- attending a medical society in western New pletion is corrected and the acid diathesis Jersey. He makes the following observaremoved. They also recover from spinal tion: “The drug, as we all know, is a good irritation, as well as spinal curvature, but for diuretic and diaphoretic, affects temperature, the latter condition it is necessary to resort and acts as a mild stimulant. I claim no to exercise, or special manipulation, or even specific action for it, but if it does not do any both. This latter condition (spinal curva- good, it will do no harm, and I would like to ture) has obtained such wide-spread preva- bring it to the attention of the members of lence that an entirely new "system” of this society." therapeutics has been developt under the I would like to add my own interpretation name of osteopathy.
of the value of “spirit of mindererus.” It is I have referred above incidentally to gen- an alkali, increasing the oxygen-carrying eral debility, meaning, of course, the debility capacity of the blood, and is antipathic to the incident to senile decay; and I bring this acid condition demonstrated to be presented subject up here for the purpose of emphasiz by Dr. Longcope. Dr. Loomis is in a quaning the claims which I advocate, since it is dary as to what improvements can be introwell known that as age advances there is cal- duced to lessen the mortuary statistics from careous deposit in the arteries, and along this disease, which under the best hospital with this we find the magnesium. Here is a treatment ranges from 35 percent to 40 percombination which interferes with the nor- cent, and he makes inquiry whether the local mal function of the cells, hinders the trans- conditions favoring its development are worse mission of nerve impulses, and leads finally than formerly, whether the type of the disto rupture of a blood vessel, which we call ease has increast in severity, and whether apoplexy. Now, I insist that apoplexy is as there has been any advance in the treatment much an accident as death from a railroad of the disease. collision ; and I know that this condition can T he whole secret of failure in the modern be arrested if taken in time and the subjects treatment of pneumonia lies in the presence enabled to live out their normal existence. of magnesium poisoning, and I am convinced
That was an exceedingly interesting and beyond question that the addition of lime to suggestiv communication in the June number the treatment, combined with the employof THE WORLD (page 228) from Dr. W. E. ment of remedies which neutralize acidity, Bartlett, of Kirkmansville, Ky., who suffered will mark a new era in the statistics of this from an ununited fracture for a period of disease. Our patients nowadays are subject about eight months (estimated), but secured to the magnesium regime, and this electrofairly good soft union in less than one month plating process affects not only the digestiv from using calcarea phos. 6x-each grain of system, but the liver and kidneys and pulthis preparation, it should be stated, contains monary apparatus, as well as the cerebral one-billionth part of the drug. I have re- structures, and in addition, we have the magferred to this report merely for the purpose nesia heart. Dr. Meltzer's investigation on of showing how important are the little magnesium sulfate proves beyond the peradthings to be borne in mind in the treatment venture of doubt that my claims are fully of disease. I do not presume that the in- warranted; he has demonstrated that when finitesimal dose supplied the system with the injected into the spinal canal it produces an material actually demanded, but it must be analgesic effect to the point of anesthesia, so apparent that its catalytic action produced that major operations of the lower extremities the desired result, since the patient has ap- and abdominal operations can be conducted parently made a complete recovery.
without ether or chloroform ; also that when lusion. I want to say a word in re- a nerve is exposed and a saturated solution gard to the employment of lime in the treat- applied thereto, the transmission of the ment of pneumonia. A few years ago Dr. electric current is arrested ; and further, that Longcope, of this city, made a series of in- applied locally to the exposed nerves it vestigations in the case of pneumonia at the annuls pain, thereby making it an antipathic Pennsylvania Hospital, and his report shows analgesic. Acting upon this scientific inforthat in some occult manner the pneumococcus mation, brought forward by Dr. Meltzer, of combined with some substance in the human the Rockefeller Institute, New York, sursystem to produce acid, and that this acid geons have already made practical tests of its combination proceeds pari passu with the dis- utility and reports are now available in medease, disappearing gradually after the crisis. ical journals. It remains now for the surgeon Unfortunately, this scientific fact has not yet to adopt measures for the purpose of ridding the system of the accumulated magnesium, of this subject as strongly as I could do. We and when they have accomplished their task have not room for charts of individual cases, no doubt the medical profession will be com- but we would like to present from many pelled to believe what is written above con members of the profession statistics of their cerning the magnesia heart.
actual experience with some definit method Philadelphia, Pa. JOHN AULDE, M.D. of treating pneumonia, and the method above
[The above is important if true. While Dr. referred to would be a good one to begin Aulde's arguments are interesting, the “ mag- with.-ED.] nesia heart” is such a new and original proposition that we must await other testimony before accepting it. It is true that
More About Dr. Parker's Plan. “ heart failure” is far too often given as a Editor MEDICAL WORLD:-I do not put cause of sudden death. It more often ex- my medicins in drug stores for sale to the presses our ignorance of the true cause than public, and this is where the line is drawn being the true cause. We have long thought between private and “ patent” medicins. I that a majority of the sudden deaths attributed do not “line my pockets" with money from to the heart are brain deaths rather than their sale, but find my method convenient to heart deaths. We will welcome any light me and both beneficial and economical to my that may come on the cause of sudden deaths. patients. - ED.]
Following are some of my remedies, and
the name at once suggests the use : Test a Definit Line of Treatment for Pneu Gastrotone, monia, and Report Statistics.
Hepatonic, Dear Editor MEDICAL WORLD:-In August Cystotone, WORLD (page 308, second column), Dr. A. F. Vitaline, Burkard suggests that you take the lead in Pharyngitone, getting the collectiv testimony of a great
Cuticon many physicians in regard to the success of Now, when you select a name for a remedy the Galbraith treatment of pneumonia. If and get your label, do not say “a cure for you will read my article on page 9 of or “guaranteed to cure,” but put it, "a supeWORLD for last January, you will see that I rior remedy for — ," Then the directions. ad vised the same thing, and at the same time Of course, each doctor can use his own judgreported one case. I hope you will make a ment as to formulas, but he ought in each special effort to get this collection. Just your case to try to get a good remedy, and he can saying that you agree will not do it. Make vary it as he chooses and to suit different it conspicuous. The idea is, that it takes one cases. I will give one suggestion here: Acid physician years to prove such a thing alone, mixtures seldom agree in stomach derangebut if 1000 physicians reported that they had ments. been successful with a certain line of treat I want now to submit to the editor a quesment, each with 5 to 7 consecutiv cases, it tion of professional etiquet. Ought I be exwould mean that we had found a treatment pected to give to the profession the free right for pneumonia that would surely lower the to the use of the above names, or to furnish mortality percentage.
the formulas to doctors at a distance and I can now report 10 consecutiv cases that whom I do not meet in consultation? Again: recovered under the use of the injection of Would it be unprofessional for a doctor to from 74 to 10 grains of the muriate of quinin, make up the remedies and put them in drug which is essentially the same as the Galbraith stores for sale ? treatment. In these cases I used calomel and As to the question whether the plan will podophylin to keep bowels free, veratrin to injure proprietary manufacturers, I think not. quiet the heart, and in some of the cases the There is one proprietary remedy I used to tinct. of iron, as suggested by Galbraith. I get by the pound, and now buy it in fivecan send you charts for 7 of these cases and I gallon lots and bottle it under my own special think I can send 8. I will send these if you name.
H. J. PARKER. wish me to. Last winter was the first win- Clayton, Ill. ter, since I have been doing much business, [What difference if doctors in other parts of that I have not lost from one to three cases the country use the same names that you use? of pneumonia. Last winter I did not lose a Your method, as you have led us to understand case.
it, consists of the use in one's practise of ready It was you who brought forward the injec prepared remedies from stock formulas. This tion method in November WORLD, 1905, is done very largely in hospitals, as a matter (page 440).
of convenience; but we think in hospitals I have not written this for publication, but numbers are used instead of fanciful names, to you, but you can use any part of it you and this is preferable. We think it would wish.
GEO. T. MOSTOX, M.D. be better taste that doctors who use your Albany, N. Y.
plan should not use your names; but it is [The above letter presents the importance only a matter of taste, as the use of the same names in distant parts of the country would Since Dr. Kelly just “couldn't help comnot injure you.
menting," I suppose I shall have to excuse You should furnish formulas and every- the seeming excited state of his mind. But, thing else in your knowledge to the profes if anybody ought to feel ashamed, it is a jurysion thru its literature, the medical press. man who would hang a man before all the You owe to the medical profession, in knowl- evidence is in; and if the doctor persists in edge, more than you can ever hope to repay. calling me a “ nostrum vender,” with the No doctor, however great, has ever given to prefix "unscrupulous," I shall have to insist the profession more than he got from the that he take the belt from that great historiprofession. Medical science has been built cal character who has been wearing it because up during the centuries by those who honored he beat the devil spinning yarns. themselves by placing the results of their best Dr. Conly (same page) thinks my medicin endeavors upon the altar of science. It should is a "patent” because it has not the formula be the ambition of every doctor to leave his printed or written thereon. In all of the profession better than he found it, even if doctor's prescribing, I wonder if, in a single only in some minor detail. Above all, don't case, he ever put the formula on the package. be afraid of doing something for the profes In reply to the doctor's contention that we sion.
ought to draw the line closely between price If you place your remedies in drug stores of medicin and price of our services, it may for sale, you go at once from professionalism be said that a doctor cannot do this when he to commercialism. Such a course would meet furnishes the medicin himself. the immediate and justifiable opposition of Clayton, Ill. - H. J. PARKER, your local practicians.-ED.] Dr. Parker Comes Back.
More About Dr. Parker's Method. Editor MEDICAL WORLD:-I am glad you Editor MEDICAL WORLD:-I have republisht the communication from Dr. F. L. ceived a number of inquiries; one is a legal Kelly (page 306), in which he says I ought to one: “Has one the legal right to rebottle be expelled from the medical societies because and name and sell a proprietary medicin?" I put a printed label on my medicins, so that Yes. You can buy anything on earth and people will not make any mistake as to what use it as you please, except for criminal purit is for, where it is from, and how to take it. poses, and provided you do not use the same There are many kinds of doctors, but Dr. name on your bottle. The rights of a Kelly is the first one I have found who thinks "patent” or a proprietary medicin end with that because I give my patient medicin with the name. You can use it as it is, mix it a printed label on it, he will become a “drug with other medicin, color or condiment it,
name the kid and call it your own. You In the first place, I give medicin just as Dr. can “rock another man's child," so long as K. does; the best I can put up for the case, you call it your own.” and the remedies I use are those prescribed However, I make most of my remedies, or by the greatest living regulars in their daily have a chemist to manufacture them. Don't practise.
make too big a batch until you know you In the second place, the doctor knows that have a smooth-looking mixture; and you one of our greatest troubles is in getting the should take the precaution to make it so it patient to stay long enuf under treatment, will keep and not throw the cork or break and my method is calculated to create confi- the bottle. I have paid for some accidents dence, and therefore to hold the case till I get here, and I had a big smash up by placing a results. Take a case of syphilis, for instance. large quantity on loosely constructed shelves. It is very difficult to hold the patient on treat. Illustration as to how I make and use some ment after the primary sore is healed. I have remedies : The following is one of my labels : seen doctors mix nasty drugs with water, and in any old bottle they could find around the house, put in a paper wad for a stopper,
PARKER'S BLOOD REMEDY, and write the directions with a lead pencil and on a crumpled margin of a newspaper,
For diseases of the blood, chronic rheumaand when the looks of it and the taste of the
tism, scrofula, threatened confirst dose made the patient puke, and another
sumption, etc. doctor was sent for, old slow would of course be offended because the patient stood “ for
DIRECTIONS.-Teaspoonful three times a day; decency and respectability.".
gradually increase to double the quantity. I am a regular of nearly forty years' prac
DR. H. J. PARKER, tise, am a licensed attorney and ought to
CLAYTON, ILL. know what is proper. The man doesn't live who can call me down on professional honor; but I am waiting for Dr. K. to "show me" Of course you can leave your name off or or apologize for his rashness.
call it by some special name.